across 52 active states · member-weighted Star Rating 3.82 (2026)
+0.2%
Month-over-Month
+36.0%
Year-over-Year
5.6%
CAGR (5yr)
5-Year Enrollment History
Year-end (December) snapshots · current year as of Oct 2026
State Footprint Oct 2026
5-Year Annual Enrollment
Snapshot
Enrollment
Net YoY
YoY %
2026-Oct (latest — partial year)
11,092,547
+2,937,280
+36.0%
2025-Dec
8,155,267
-202,902
-2.4%
2024-Dec
8,358,169
-320,909
-3.7%
2023-Dec
8,679,078
+78,459
+0.9%
2022-Dec
8,600,619
+91,923
+1.1%
2021-Dec
8,508,696
—
—
Month-over-Month Enrollment — Past 12 Months
Month
Enrollment
Net MoM
MoM %
2026-Oct
11,092,547
+25,792
+0.2%
2026-Sep
11,066,755
+14,707
+0.1%
2026-Aug
11,052,048
+37,430
+0.3%
2026-Jul
11,014,618
+28,501
+0.3%
2026-Jun
10,986,117
+57,810
+0.5%
2026-May
10,928,307
+57,078
+0.5%
2026-Apr
10,871,229
+54,207
+0.5%
2026-Mar
10,817,022
+93,316
+0.9%
2026-Feb
10,723,706
+353,160
+3.4%
2026-Jan
10,370,546
+2,215,279
+27.2%
2025-Dec
8,155,267
+17,614
+0.2%
2025-Nov
8,137,653
-4,252
-0.1%
State-by-State Enrollment
State
Code
Enrollment
Counties
Share of Provider
Florida
FL
1,165,637
67
10.51%
Texas
TX
553,636
246
4.99%
North Carolina
NC
448,713
100
4.05%
Illinois
IL
336,770
102
3.04%
Georgia
GA
335,151
159
3.02%
Kentucky
KY
293,990
120
2.65%
Michigan
MI
250,391
83
2.26%
Virginia
VA
236,347
133
2.13%
Alabama
AL
232,633
67
2.10%
Louisiana
LA
232,493
64
2.10%
South Carolina
SC
224,916
46
2.03%
Indiana
IN
220,809
92
1.99%
Ohio
OH
220,510
88
1.99%
Tennessee
TN
207,686
95
1.87%
Arizona
AZ
176,893
15
1.59%
Missouri
MO
167,347
107
1.51%
California
CA
146,212
41
1.32%
Washington
WA
144,189
38
1.30%
Mississippi
MS
128,055
82
1.15%
Wisconsin
WI
120,273
72
1.08%
West Virginia
WV
118,997
55
1.07%
Oklahoma
OK
118,423
68
1.07%
Colorado
CO
116,522
54
1.05%
New York
NY
115,985
62
1.05%
Arkansas
AR
112,189
74
1.01%
Pennsylvania
PA
101,400
67
0.91%
Nevada
NV
97,984
10
0.88%
Utah
UT
64,010
23
0.58%
Montana
MT
55,451
38
0.50%
New Mexico
NM
54,801
30
0.49%
New Jersey
NJ
54,342
21
0.49%
Kansas
KS
52,722
58
0.48%
Maryland
MD
49,946
24
0.45%
New Hampshire
NH
42,723
10
0.39%
Iowa
IA
36,218
98
0.33%
Maine
ME
26,145
16
0.24%
Oregon
OR
18,169
28
0.16%
Hawaii
HI
17,411
4
0.16%
Idaho
ID
15,695
38
0.14%
Nebraska
NE
14,517
32
0.13%
Massachusetts
MA
10,895
13
0.10%
Minnesota
MN
10,276
46
0.09%
Connecticut
CT
8,765
8
0.08%
Vermont
VT
8,084
12
0.07%
Delaware
DE
7,700
3
0.07%
Wyoming
WY
2,270
14
0.02%
District of Columbia
DC
1,593
1
0.01%
Alaska
AK
490
5
0.00%
Rhode Island
RI
286
5
0.00%
South Dakota
SD
151
3
0.00%
North Dakota
ND
12
1
0.00%
U.S. Virgin Islands
VI
12
1
0.00%
State totals sum to slightly less than the provider's contract-level enrollment.
CMS suppresses any county–contract cell with 10 or fewer enrollees for HIPAA privacy,
so those small slivers don't appear in the state/county file but are still counted in the contract total.